Orthonotes
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Osteosarcoma — Workup & Management

High‑grade intramedullary osteosarcoma affects metaphyses of long bones in adolescents (distal femur, proximal tibia, proximal humerus). Workup: **X‑rays**, **MRI with contrast** of entire bone, **CT chest**, and **bone scan/PET‑CT**; labs (ALP, LDH). Biopsy: **planned by treating team** along resection plane to avoid contaminating compartments. Standard treatment: **neoadjuvant chemotherapy (MAP)** → **wide resection** with limb‑salvage reconstruction where feasible → **adjuvant chemotherapy**....